Assistant Director of Clinical Services

Legacy Healthcare; Baltimore (MD); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

Competitive salary

Supportive leadership

Career advancement

Professional environment

Impact on residents

PTO

Leadership support

Grow into DON role

Job summary

Legacy Healthcare is seeking an experienced Assistant Director of Nursing (ADON) to lead the nursing team in a Skilled Nursing Facility in Baltimore. The ADON reports to the Director of Nursing and collaborates with the nursing leadership to ensure high-quality resident care, regulatory compliance, and strong clinical outcomes.

The ideal candidate is a strong clinical nurse leader who communicates well, holds staff accountable, and fosters a positive nursing culture.

Qualifications

• Current and unrestricted RN license in the state of employment.
• Previous nursing leadership experience preferred.
• SNF, skilled nursing, long‑term care, or post‑acute experience strongly preferred.
• Strong clinical assessment and critical‑thinking skills.
• Excellent communication and interpersonal skills.

Responsibilities

• Assist the Director of Nursing with daily nursing department operations.
• Provide clinical leadership and support to RNs, LPNs/LVNs, and CNAs.
• Monitor resident care to ensure quality, safety, and compliance.
• Conduct clinical rounds and follow up on resident care needs.
• Support accurate and timely nursing documentation.
• Assist with care planning and interdisciplinary team meetings.
• Monitor changes in resident condition and ensure appropriate interventions.
• Assist with staffing, scheduling, assignments, and nursing coverage.
• Provide guidance and support to nursing staff during clinical situations.
• Coach, mentor, and develop nursing team members.
• Assist with orientation and training of new nursing employees.
• Participate in performance management and staff accountability.
• Monitor infection prevention and control practices.
• Assist with medication management and clinical audits.
• Review incident reports and assist with appropriate follow-up.
• Monitor quality measures and clinical outcomes.
• Participate in QAPI and other performance improvement initiatives.
• Assist with survey preparation and regulatory compliance.
• Help maintain compliance with facility policies and applicable state and federal requirements.
• Respond professionally to resident and family concerns.
• Collaborate with physicians, therapy, social services, dietary, activities, and other departments.
• Serve as a nursing leader and resource for staff.
• Assist the DON with special projects and departmental initiatives.
• Assume leadership responsibilities in the DON's absence as appropriate.

Skills

RN license

Nursing leadership

Communication skills

Time management

Organizational skills

Clinical assessment

Critical thinking

Interpersonal skills

Job description

Assistant Director of Nursing (ADON)

Skilled Nursing Facility (SNF)

We are looking for an experienced, motivated, and compassionate Registered Nurse leader to join our team as an Assistant Director of Nursing (ADON).

This is a great opportunity for an RN who enjoys leadership, clinical care, staff development, and making a meaningful difference in the lives of residents. The ADON will work closely with the Director of Nursing and nursing leadership team to ensure high-quality resident care, strong clinical outcomes, regulatory compliance, and excellent staff performance.

Experienced RN Supervisors, Nurse Managers, Unit Managers, and Clinical Supervisors are encouraged to apply.

Why Join Our Team?

• Competitive salary based on experience

• Supportive and collaborative leadership team

• Strong opportunity for career advancement

• Professional and respectful work environment

• Opportunity to make a direct impact on resident care

• Paid time off and benefits for eligible employees

• Leadership support from an experienced interdisciplinary team

• Opportunity to grow into a DON role

Position Summary

The Assistant Director of Nursing supports the Director of Nursing in overseeing the nursing department and ensuring residents receive safe, compassionate, and high-quality care.

The ADON will provide hands‑on clinical leadership, assist with staffing and scheduling, support nursing staff, monitor clinical performance, participate in quality improvement initiatives, and help maintain compliance with applicable regulations and facility policies.

The ideal candidate is a strong clinical nurse leader who leads by example, communicates well, holds staff accountable, and knows how to build a positive nursing culture.

Key Responsibilities

• Assist the Director of Nursing with daily nursing department operations

• Provide clinical leadership and support to RNs, LPNs/LVNs, and CNAs

• Monitor resident care to ensure quality, safety, and compliance

• Conduct clinical rounds and follow up on resident care needs

• Support accurate and timely nursing documentation

• Assist with care planning and interdisciplinary team meetings

• Monitor changes in resident condition and ensure appropriate interventions

• Assist with staffing, scheduling, assignments, and nursing coverage

• Provide guidance and support to nursing staff during clinical situations

• Coach, mentor, and develop nursing team members

• Assist with orientation and training of new nursing employees

• Participate in performance management and staff accountability

• Monitor infection prevention and control practices

• Assist with medication management and clinical audits

• Review incident reports and assist with appropriate follow-up

• Monitor quality measures and clinical outcomes

• Participate in QAPI and other performance improvement initiatives

• Assist with survey preparation and regulatory compliance

• Help maintain compliance with facility policies and applicable state and federal requirements

• Respond professionally to resident and family concerns

• Collaborate with physicians, therapy, social services, dietary, activities, and other departments

• Serve as a nursing leader and resource for staff

• Assist the DON with special projects and departmental initiatives

• Assume leadership responsibilities in the DON's absence as appropriate

What We're Looking For

• Current and unrestricted RN license in the state of employment

• Previous nursing leadership experience preferred

• SNF, skilled nursing, long‑term care, or post‑acute experience strongly preferred

• Strong clinical assessment and critical‑thinking skills

• Excellent communication and interpersonal skills

• Ability to coach, motivate, and hold staff accountable

• Strong organizational and time‑management skills

• Knowledge of long‑term care clinical practices and regulations

• Ability to work effectively in a fast‑paced environment

• Compassionate, professional, and resident‑focused approach

Leadership Experience That May Transfer

We encourage applications from experienced:

• Assistant Directors of Nursing

• RN Supervisors

• Nurse Managers

• Unit Managers

• Clinical Supervisors

• Nursing Supervisors

• Charge Nurses with leadership experience

• Clinical Managers

What Success Looks Like

In this role, success means helping create a nursing department where:

• Residents receive excellent, consistent care

• Staff feel supported and valued

• Clinical issues are identified and addressed quickly

• Documentation and communication are accurate

• The nursing team works together effectively

• Quality and regulatory standards are maintained

• Staff are held accountable while receiving the support they need to succeed

We are especially interested in candidates who are ready to take the next step toward a Director of Nursing leadership position.

Equal Opportunity Employer.